Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $135.91 / $520.89	Facility		$28.39	$135.91	$520.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $119.48 / $195.18	Professional		$25.27	$119.48	$195.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $229.39 / $394.42	Professional		$64.78	$229.39	$394.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $170.86 / $347.16	Facility		$42.71	$170.86	$347.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $359.41 / $1,005.20	Professional		$141.24	$359.41	$1,005.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.25 / $252.74 / $368.50	Facility		$73.25	$252.74	$368.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.78 / $252.74 / $368.50	Professional		$64.78	$252.74	$368.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $198.23 / $268.05	Professional		$48.94	$198.23	$268.05
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $286.54 / $435.37	Professional		$177.86	$286.54	$435.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $69.90 / $314.10	Professional		$57.10	$69.90	$314.10